Provider Demographics
NPI:1518522218
Name:BRUGUERA TORRES, CLAUDIA VANESSA (MD)
Entity Type:Individual
Prefix:MRS
First Name:CLAUDIA
Middle Name:VANESSA
Last Name:BRUGUERA TORRES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:SINAI-GRACE HOSPITAL 6071 OUTER DR W DEPARTMENT OF MEDI
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48235
Mailing Address - Country:US
Mailing Address - Phone:313-966-1728
Mailing Address - Fax:
Practice Address - Street 1:SINAI-GRACE HOSPITAL 6071 OUTER DR W DEPARTMENT OF MEDI
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48235
Practice Address - Country:US
Practice Address - Phone:313-966-1728
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-05-08
Last Update Date:2019-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI390200000X
MI4351045408390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program